MIKHAIL JOSE GREGORIO DAYA ATTIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

MIKHAIL

Middle

JOSE GREGORIO

Last Name

DAYA ATTIE

Business Name

MIKHAIL JOSE GREGORIO DAYA ATTIE

Original Issue Date

11/30/2018

Effective Date

11/30/2018

Expiration Date

01/31/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022